Caffeine (e.g., energy drinks, caffeine pills) | NA | Restlessness, nervousness, insomnia, tachyarrhythmias, psychomotor agitation, withdrawal, headache | Supportive care |
Chlorpheniramine | DXM, robo, CCC, skittles, poor man's PCP, velvet, rojo, candy | Respiratory depression, hyperthermia, rhabdomyolysis, seizures, flushing, tachycardia, agitated delirium, urinary retention, cardiac arrhythmias | Supportive care; benzodiazepines for seizures |
Chlorpheniramine plus dextromethorphan | DXM, robo, CCC, skittles, poor man's PCP, velvet, rojo, candy | Tachycardia, somnolence, agitation, hallucinations, hypertension, disorientation, slurred speech, syncope, seizure | Supportive care; benzodiazepines for seizures |
Dextromethorphan | DXM, robo, CCC, skittles, poor man's PCP, velvet, rojo, candy | Hyperexcitability, lethargy, ataxia, slurred speech, sweating, temperature instability, hypertension, nystagmus, seizures, death | Supportive care; testing for concomitant ingestion of other drugs |
Dimenhydrinate | Dime tabs, dime, substance D | Euphoria, hallucinations, flushing, tachycardia, agitated delirium, convulsions, urinary retention, cardiac arrhythmias, somnolence, coma | Clozapine (Clozaril) to reduce cravings |
Diphenhydramine | NA | Flushing, tachycardia, agitated delirium, convulsions, urinary retention, cardiac arrhythmias, somnolence, coma | Supportive care |
Nicotine (e.g., cigarettes, smokeless tobacco, nicotine replacement therapies) | Cigs, chew, dip, snuff, shisha, hubble-bubble | Mild euphoria, agitation | Smoking cessation; supportive care |
Pseudoephedrine | NA; used to make methamphetamine | Priapism, hypertension, agitation, excitability, tachyarrhythmias | Supportive care |